Provider Demographics
NPI:1811635584
Name:SOLOMON, JOSEPHINE (CERT PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:CERT PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13110 KUYKENDAHL RD APT 2404
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-6714
Mailing Address - Country:US
Mailing Address - Phone:832-454-2743
Mailing Address - Fax:
Practice Address - Street 1:13110 KUYKENDAHL RD APT 2404
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6714
Practice Address - Country:US
Practice Address - Phone:832-454-2743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy